Individual
DR. JAMES L EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W PIKE ST, COVINGTON, KY 41011-2370
(859) 816-1934
Mailing address
200 W PIKE ST, COVINGTON, KY 41011-2370
(856) 816-1934
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22005
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0536227
—
OH
05
—
64220056
—
KY
Enumeration date
07/25/2006
Last updated
06/05/2012
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